Individual provider

Jennifer Shafer, N.P.

Family Nurse Practitioner Registered Nurse Medicare enrolled

Jennifer Shafer, N.P. is a Family Nurse Practitioner in Marengo, IN, registered under NPI 1366790776. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 5604 E WHITE OAK LN, Marengo, IN 47140. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5604 E WHITE OAK LN, Marengo, IN 47140 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
71004086A IN Family Nurse Practitioner primary
28168433A IN Registered Nurse

This provider holds licence 71004086A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
5698929669
Enrollment ID
I20130129000555

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 71004086A IN primary
163W00000X Registered Nurse 28168433A IN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1366790776 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 16, 2012
Last updatedDec 10, 2020
StatusActive
Sole proprietorNo
CredentialN.P.
Practice address 5604 E WHITE OAK LN
Marengo, IN 47140
(812) 365-3221
Fax (812) 365-9502
Mailing address 420 W LONGEST ST
Paoli, IN 47454
Other identifiers 201110950 · Medicaid (IN)
The last update on file is Dec 10, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1366790776 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 6 6 7 9 0 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 3 6 5 9 0 7 5

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1366790776?
NPI 1366790776 is the National Provider Identifier assigned to Jennifer Shafer, N.P. in Marengo, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Jennifer Shafer, N.P.?
The phone number on file with NPPES is (812) 365-3221, last updated Dec 10, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jennifer Shafer, N.P. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1366790776 a valid number?
Yes. 1366790776 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.